Standards & Accreditation Officer at Tenwek Hospital – July 2025

Standards & Accreditation Officer

Job Summary:

  • To ensure that the institution meet the appropriate and acceptable standards of quality nationally and internationally.

Job Description:

  • Support all departments/units to comply with the national and international regulatory /accreditation processes to ensure compliance with the accreditation standards.
  • Provide staff training on Quality standards.
  • Tracks deadlines for all regulatory/accreditation activities, and assures all responses are on target to meet deadline, or escalated through necessary reporting structure to meet necessary compliance timeframes.
  • Manages/assists with the hospital process for policy development or review, approval, dissemination, intranet posting, and archiving.
  • Collaborates with Health, Safety and Risk Management units to provide strategies, tools, and approaches to achieve compliance.
  • Educate hospital leadership and personnel on the benefits and risks associated with regulatory compliance in terms of value to accreditation, patient care, and public reputation.
  • Work with quality internal auditors to Audit and Evaluates extent of compliance of hospital units and departments with regulatory and accreditation standards.
  • Monitor the corrective action plan for closing identified non -conformities.
  • Assists departments and units in assessing readiness for licensing and accreditation
  • Manages all aspects of accreditation, regulatory and hospital licensure compliance which includes ensuring full documents are submitted to accreditation body on time.
  • Identifies opportunities for improvements based on evidence-based practices in regulatory and accreditation compliance.
  • Organize internal and external Quality Audits as required.
  • Any other assignment from the supervisor/Management

Education/Qualification

  • Bachelor’s Degree in Health-related field with at least 5 years’ working experience in quality related matters.
  • Must be trained on ISO 9001:2015 standard.
  • Training on Quality internal audit is an added advantage.

Submit Your Application

Interested candidates who meet the above criteria should send their applications to recruit@tenwekhosp.org on or before 8 th August,2025 enclosing: *Resume, Cover Letter & *Statement of Faith*

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